MSE Activation Protocol

1. Engage the wrench in the center of the hexagonal power screw⁣⁣. ᠌

2. When correctly engaged the handle of the wrench slightly touches the lower incisors with the patient´s mouth fully opened.

3. Now turn the screw by moving the butt of the wrench towards the upper incisors in the direction of the arrow, which is engraved onto the power screw.

4. That´s one turn. One turn equals 0,17 mm of maxillary expansion.


- Early Teens : 1 turn every other day
- Late Teens : 2 - 4 turns/day
- Teens : 4 - 6 turns/day
- Older min. : 4 - 6 turns/day
- After Diastema : stay in the scheme



Precaution for MSE Activation